Psychiatric diagnosis before serological testing for the human immunodeficiency virus.
To identify the diagnostic characteristics and counseling needs of individuals at risk for acquired immune deficiency syndrome (AIDS), standardized DSM-III-R diagnoses were given to 207 physically asymptomatic adults when they sought serological testing for the human immunodeficiency virus (HIV). The subjects had high lifetime rates of mood disorders. Even after the 20 subjects with intravenous drug use as a risk factor were eliminated, lifetime rates of nonalcohol substance dependence were also high. These findings suggest that even before they are notified of HIV test results, many individuals at perceived risk for AIDS may be vulnerable to future depression and nonintravenous drug abuse.
Perry
S
S
Department of Psychiatry, Cornell University Medical College, New York Hospital, NY 10021.
Jacobsberg
L B
LB
Fishman
B
B
Frances
A
A
Bobo
J
J
Jacobsberg
B K
BK
D015492:AIDS Serodiagnosis; D000328:Adult; D000368:Aged; D002391:Catchment Area, Health; D003376:Counseling; D003866:Depressive Disorder / Q000150:complications / Q000175:diagnosis / Q000453:epidemiology; D005260:Female; D006679:HIV Seropositivity / Q000150:complications* / Q000175:diagnosis; D006716:Homosexuality; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D001523:Mental Disorders / Q000150:complications / Q000175:diagnosis / Q000453:epidemiology*; D008875:Middle Aged; D015995:Prevalence; D011569:Psychiatric Status Rating Scales; D012307:Risk Factors; D019966:Substance-Related Disorders / Q000150:complications / Q000175:diagnosis / Q000453:epidemiology